| Grace Street Recovery Services-vermont | |
|
184 King St Burlington VT 05401-4534 | |
| (802) 503-5450 | |
| Not Available |
| Full Name | Grace Street Recovery Services-vermont |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 184 King St, Burlington, Vermont |
| Authorized Official Name and Position | Margaret Terrien (NURSE PRACTITIONER) |
| Authorized Official Contact | 8025035450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Street Recovery Services-vermont 274 Spinnaker Ln Shelburne VT 05482-7783 Ph: (802) 503-5450 | Grace Street Recovery Services-vermont 184 King St Burlington VT 05401-4534 Ph: (802) 503-5450 |
| NPI Number | 1043744568 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043744568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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